SOUTH DES MOINES DENTAL
NPI 1861106700
Clinic/Center - Dental in Des Moines, IA

Q: What is South Des Moines Dental's NPI number?

The NPI number for South Des Moines Dental is 1861106700. It was assigned to this organization in the NPPES registry on January 5, 2023. The provider is doing business as South Des Moines Dental Practice.

Q: What is South Des Moines Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 05, 2023

4401 SW 9TH ST, DES MOINES, IA 50315(515) 285-9962 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About South Des Moines Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH DES MOINES DENTAL (NPI 1861106700), doing business as South Des Moines Dental Practice, is a healthcare organization registered as a dental in Des Moines, Iowa and active in the NPI registry since January 2023. The organization lists Kyle J Connolly, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1861106700

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSOUTH DES MOINES DENTAL

Location Address4401 SW 9TH STDes Moines, IA 50315-3909

Mailing Address4401 Sw 9th StDes Moines, IA 50315-3909 · (515) 285-9962 · Fax (515) 285-9699

Phone(515) 285-9962

Organization SubpartNo

Authorized OfficialKyle J ConnollyOwner Dentist · (515) 285-9962

Enumeration DateJanuary 5, 2023

NPPES CertifiedJanuary 5, 2023

✔ NPI 1861106700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4401 SW 9TH ST, Des Moines, IA 50315

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Other Names 1

Doing Business AsSouth Des Moines Dental Practice

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KYLE JAMES CONNOLLY D.D.S.

Dentist (General Practice)

4401 SW 9TH ST
DES MOINES, IA 50315

Polk County (515) 285-9962

DR. RANDAL R SINNARD DDS

Dentist (General Practice)

4401 SW 9TH ST
DES MOINES, IA 50315

Polk County (515) 285-9990

DR. JOHN A REED D.D.S.

Dentist (General Practice)

4401 SW 9TH ST
DES MOINES, IA 50315

Polk County (515) 285-9962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Des Moines Dental's NPI number?

The NPI number for South Des Moines Dental is 1861106700. It was assigned to this organization in the NPPES registry on January 5, 2023. The provider is doing business as South Des Moines Dental Practice.

Where is South Des Moines Dental located?

South Des Moines Dental is located at 4401 SW 9th St, Des Moines, IA 50315. The listed phone number is (515) 285-9962.

What is South Des Moines Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for South Des Moines Dental was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.